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Comparison of Risk of Carpal Tunnel Syndrome in Patients with Distal Radius Fractures After 7 Treatments.

Zhao HL, Wang GB, Jia YQ, Zhu SC, Zhang FF, Liu HM - Med. Sci. Monit. (2015)

Bottom Line: The published articles were screened, based on predefined inclusion and exclusion criteria, to select high-quality studies for the present network meta-analysis.Data extracted from the selected studies were analyzed using STATA version 12.0 software.Our network meta-analysis results demonstrated no significant differences in CTS risk among the 7 treatments (P>0.05).

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopedics, Linyi People's Hospital, Linyi, Shandong, China (mainland).

ABSTRACT
BACKGROUND To compare risk of carpal tunnel syndrome (CTS) in distal radius fracture (DRF) patients after 7 treatments using bridging external fixation (BrEF), non-bridging external fixation (non-BrEF), plaster fixation, K-wire fixation, dorsal plating fixation, volar plating fixation, and dorsal and volar plating by performing a network meta-analysis. MATERIAL AND METHODS An exhaustive search of electronic databases identified randomized controlled trails (RCTs) closely related to our study topic. The published articles were screened, based on predefined inclusion and exclusion criteria, to select high-quality studies for the present network meta-analysis. Data extracted from the selected studies were analyzed using STATA version 12.0 software. RESULTS The literature search and selection process identified 12 eligible RCTs that contained a total of 1370 DRF patients (394 patients with BrEF, 377 patients with non-BrEF, 89 patients with K-wire fixation, 192 patients with plaster fixation, 42 patients with dorsal plating fixation, 152 patients with volar plating fixation, and 124 patients with dorsal and volar plating fixation). Our network meta-analysis results demonstrated no significant differences in CTS risk among the 7 treatments (P>0.05). The value of surface under the cumulative ranking curve (SUCRA), however, suggested that dorsal plating fixation is the optimal treatment, with the lowest risk of CTS in DRF patients (dorsal plating fixation: 89.2%; dorsal and volar plating: 57.8%; plaster fixation: 50.9%; non-BrEF: 50.6%; volar plating fixation: 39.6%; BrEF: 38.4%; K-wire fixation: 23.6%). CONCLUSIONS Our network meta-analysis provides evidence that dorsal plating fixation significantly decreases the risk of CTS and could be the method of choice in DRF patients.

No MeSH data available.


Related in: MedlinePlus

Inconsistency test for direct and indirect comparison (A – bridging external fixation; B – non-bridging external fixation; C – plaster fixation; D – K-wire fixation; E – dorsal plating fixation; F – volar plating fixation; G – dorsal and volar plating fixation).
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f3-medscimonit-21-2837: Inconsistency test for direct and indirect comparison (A – bridging external fixation; B – non-bridging external fixation; C – plaster fixation; D – K-wire fixation; E – dorsal plating fixation; F – volar plating fixation; G – dorsal and volar plating fixation).

Mentions: Inconsistency plot was used to identify heterogeneity among studies in the closed loops of this network meta-analysis (Figure 3). Two triangular loops and 1 quadrangle loop were present in the network meta-analysis, including BrEF-dorsal plating fixation-volar plating fixation loop, BrEF-plaster fixation-volar plating fixation loop and plaster fixation- K-wire fixation- volar plating fixation-dorsal and volar plating fixation loop. IF values with 95%CI were truncated at zero, suggesting no significant inconsistency. The P values of greater than 0.05 further confirmed that direct comparisons and indirect comparisons of the 7 treatment strategies showed consistency.


Comparison of Risk of Carpal Tunnel Syndrome in Patients with Distal Radius Fractures After 7 Treatments.

Zhao HL, Wang GB, Jia YQ, Zhu SC, Zhang FF, Liu HM - Med. Sci. Monit. (2015)

Inconsistency test for direct and indirect comparison (A – bridging external fixation; B – non-bridging external fixation; C – plaster fixation; D – K-wire fixation; E – dorsal plating fixation; F – volar plating fixation; G – dorsal and volar plating fixation).
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4588632&req=5

f3-medscimonit-21-2837: Inconsistency test for direct and indirect comparison (A – bridging external fixation; B – non-bridging external fixation; C – plaster fixation; D – K-wire fixation; E – dorsal plating fixation; F – volar plating fixation; G – dorsal and volar plating fixation).
Mentions: Inconsistency plot was used to identify heterogeneity among studies in the closed loops of this network meta-analysis (Figure 3). Two triangular loops and 1 quadrangle loop were present in the network meta-analysis, including BrEF-dorsal plating fixation-volar plating fixation loop, BrEF-plaster fixation-volar plating fixation loop and plaster fixation- K-wire fixation- volar plating fixation-dorsal and volar plating fixation loop. IF values with 95%CI were truncated at zero, suggesting no significant inconsistency. The P values of greater than 0.05 further confirmed that direct comparisons and indirect comparisons of the 7 treatment strategies showed consistency.

Bottom Line: The published articles were screened, based on predefined inclusion and exclusion criteria, to select high-quality studies for the present network meta-analysis.Data extracted from the selected studies were analyzed using STATA version 12.0 software.Our network meta-analysis results demonstrated no significant differences in CTS risk among the 7 treatments (P>0.05).

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopedics, Linyi People's Hospital, Linyi, Shandong, China (mainland).

ABSTRACT
BACKGROUND To compare risk of carpal tunnel syndrome (CTS) in distal radius fracture (DRF) patients after 7 treatments using bridging external fixation (BrEF), non-bridging external fixation (non-BrEF), plaster fixation, K-wire fixation, dorsal plating fixation, volar plating fixation, and dorsal and volar plating by performing a network meta-analysis. MATERIAL AND METHODS An exhaustive search of electronic databases identified randomized controlled trails (RCTs) closely related to our study topic. The published articles were screened, based on predefined inclusion and exclusion criteria, to select high-quality studies for the present network meta-analysis. Data extracted from the selected studies were analyzed using STATA version 12.0 software. RESULTS The literature search and selection process identified 12 eligible RCTs that contained a total of 1370 DRF patients (394 patients with BrEF, 377 patients with non-BrEF, 89 patients with K-wire fixation, 192 patients with plaster fixation, 42 patients with dorsal plating fixation, 152 patients with volar plating fixation, and 124 patients with dorsal and volar plating fixation). Our network meta-analysis results demonstrated no significant differences in CTS risk among the 7 treatments (P>0.05). The value of surface under the cumulative ranking curve (SUCRA), however, suggested that dorsal plating fixation is the optimal treatment, with the lowest risk of CTS in DRF patients (dorsal plating fixation: 89.2%; dorsal and volar plating: 57.8%; plaster fixation: 50.9%; non-BrEF: 50.6%; volar plating fixation: 39.6%; BrEF: 38.4%; K-wire fixation: 23.6%). CONCLUSIONS Our network meta-analysis provides evidence that dorsal plating fixation significantly decreases the risk of CTS and could be the method of choice in DRF patients.

No MeSH data available.


Related in: MedlinePlus